# PAIN SPECIALISTS OF GREATER LEHIGH VALLEY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679560403
- **Authorized official:** LORETTA KOWALICK (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (610) 402-1757

## Contact information

- **Practice address:** 1240 S CEDAR CREST BLVD, SUITE \#307, ALLENTOWN, PA 18103-6369
- **Practice address phone:** (610) 402-1757
- **Practice address fax:** (610) 402-9089
- **Mailing address:** 1245 S CEDAR CREST BLVD, SUITE \#301, ALLENTOWN, PA 18103-6258
- **Mailing address phone:** (610) 402-1757
- **Mailing address fax:** (610) 402-9089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | PA | Yes |
| 261QP3300X | Pain Clinic/Center | — | PA | — |
| 363L00000X | Nurse Practitioner | — | PA | — |

## Other

- **Enumeration date:** 10/06/2005
- **Last updated:** 07/21/2022